Claims Analyst jobs in Rochester, NH
Claims Analyst analyzes and reviews insurance claims for accuracy, completeness, and eligibility. Reviews claims for eligibility to be reimbursed. Being a Claims Analyst maintains updated records and prepares required documentation. Assists in controlling the cost of processing claims. Additionally, Claims Analyst contacts policyholders about claims and may provide information regarding the amount of benefits. May require a bachelor's degree or its equivalent. Typically reports to a supervisor or manager. The Claims Analyst gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Analyst typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Recently Added Claims Analyst jobs
Claims Denial Analyst
- PMC Medical Group
-
Somersworth, NH
FULL_TIME
-
PMC Medical Group in Somersworth, NH is accepting applications for a full time Claims Denial Analyst. This position is 40 hours per week; Monday through Friday with evenings and holidays off. This is a hybrid/remote position.Claims Denial Analyst
SUMMARY
Job Summary: Responsible for daily billing functions including denied claim follow-up, patient accounts
and month-end activities.Essential Functions:- Follow up on denied claims with insurance payers according to timely filing guidelines
- Track and report insurance issues and their resolutions
- Write and send appeals on unpaid or underpaid claims
- Research insurance payment policy guidelines and changes
- Analyze ,investigate, and problem solve multiple issues concurrently
- Answer incoming and transferred telephone calls
- Assist in quality improvement of department
- Participate in regularly scheduled department meetings
- Actively participate in safety of department
- Maintain a professional appearance
- Maintain a courteous, considerate and respectful demeanor with patients and visitors
- Resolve interpersonal conflicts that arise in a professional manner
- Maintain consistent attendance, reliability and punctuality
- Accept constructive criticism and attempt to use it to improve personal practice
- Make appropriate arrangements for absences
Other Functions and Responsibilities:
Perform other duties as assigned; including but not limited to projects, office cleaning, or filling in for other administrative positions during absences.REQUIRED QUALIFICATIONS
Education: High school diploma or equivalentExperience:
Knowledge/Skills/Abilities: Insurance knowledge including coding, claims submission, charge entry,
posting payments, collections, insurance appeals, and prior authorization process, familiarity with multiple
insurances and their medical policies, professional and facility billing requirements, experience and
understanding of working with billing reports and aged accounts, basic understanding of provider
credentialing and third party payer contracts, familiar with the use of CPT and ICD-9 manuals, ability to
request and research information regarding billing procedures from Medicare, Medicaid and third party
payers.
PREFERRED QUALIFICATIONS- Education: Associate Degree in Medical Billing or related field, or related certification
- Experience: 1-2 years medical billing
- Knowledge/Skills/Abilities:
* The above statements are intended to describe the general nature and level of work being performed by individuals
assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills
required of personnel so classified.WORK ENVIRONMENT
The organization strives to maintain a clean, well-lit, ventilated facility. Position involves the occasional exposure to
patients with contagious or communicable diseases, and disruptive, violent or aggressive patient behavior. Position may at times involve a high-stress work environment with multi-tasking demands.PHYSICAL DEMANDS:
While performing the duties of this job, the employee is required to stand, walk, sit for up to 8 hours per day, climb stairs, balance, kneel, bend, stoop, crouch, exercise hand controls including fingering and keyboarding for up to 8 hours per day, lift or carry up to 50 lbs, reach, use a computer for up to 8 hours per day, talk, hear; specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.
- 21 Days Ago
Field Technician
- Hancock Claims Consultants
-
Dover, NH
CONTRACTOR
- CLIMB to New Heights… And live the_ American Dream. _Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carri...
- 1 Month Ago
Claims Processor
- FedPoint
-
Portsmouth, NH
FULL_TIME
- Are you detail-oriented, committed to make an impact in the world of claims processing? We're looking for two Full-Time Claims Processors to join our team! As a Federal Government contractor, FedPoint...
- 14 Days Ago
Benefits Claims Specialist
- Cobalt Benefits Group LLC
-
Exeter, NH
FULL_TIME
- DescriptionJoin our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Benefits Claims Specialist, you’ll play an important role in helping us offer cu...
- 17 Days Ago
Medical Billing and Claims Specialist
- Robert Half
-
Texas, TX
PER_DIEM
- Are you a detail-oriented professional with a passion for Medical Claims and Billing? Robert Half has partnered with a growing organization in the Texas City, Texas area who is actively hiring! We are...
- 20 Days Ago
Auto Damage Claims Adjuster
- Progressive Casualty Insurance Company
-
Kittery, ME
FULL_TIME
- Auto Damage Claims Adjuster Job Number: 223771 Join Forbes' 2023 Best Employer for Diversity!As an auto damage claims adjuster, you’ll serve as Progressive’s point of contact with customers – directin...
- 1 Month Ago
Filters
- Current Active Filter
- Rochester, NH
Clear All
- Filter Jobs By posted time
- Within 1 Day
- Within 2-7
- Within 1 Month
- Within 3 Months
0 Claims Analyst jobs found in Rochester, NH area
Director of Compliance and Training
- Optima Dermatology
-
Portsmouth, NH
- Multi-site Dermatology Group Seeks Director of Compliance and Training Optima Dermatology is recruiting a Director of Co...
- 4/25/2024 12:00:00 AM
Transportation Analyst
- Bauer Group
-
Exeter, NH
- Location: **Exeter, NH** * Coordinate/route inbound transportation from origin points to PAA distribution centers and di...
- 4/24/2024 12:00:00 AM
Provider Network Operations Data Analyst Sr (hybrid)
- AmeriHealth Caritas
-
Manchester, NH
- **Provider Network Operations Data Analyst Sr (hybrid)** Location: Manchester, NH Primary Job Function: Provider Network...
- 4/24/2024 12:00:00 AM
Work from Home - Sales Agent
- The Fitzgerald Agency
-
Durham, NH
- Organization Description: The Fitzgerald Agency is a national insurance and financial services agency. Our company was f...
- 4/24/2024 12:00:00 AM
CONSTRUCTION SCHEDULER
- BB&E Inc
-
Kittery, ME
- Job Description Job Description Construction Scheduler Job Summary: BB&E is looking for a Construction Scheduler to supp...
- 4/23/2024 12:00:00 AM
Claims Adjuster-Auto Damage
- Progressive Corp.
-
Portsmouth, NH
- Job Description - Claims Adjuster-Auto Damage (189704) **** Claims Adjuster-Auto Damage **Job Number** : 189704 As an **...
- 4/22/2024 12:00:00 AM
Senior D&O Claims Analyst
- Masis Professional Group
-
Manchester, NH
- Masis Professional Group has partnered with a New England based insurance client seeking an experienced Sr. D&O Claims A...
- 4/21/2024 12:00:00 AM
Senior D&O Claims Analyst
- Masis Professional Group
-
Manchester, NH
- Masis Professional Group has partnered with a New England based insurance client seeking an experienced Sr. D&O Claims A...
- 4/21/2024 12:00:00 AM
About Rochester, New Hampshire
According to the United States Census Bureau, the city has a total area of 45.8 square miles (118.6 km2), of which 45.4 square miles (117.6 km2) is land and 0.3 square miles (0.8 km2) is water, comprising 0.79% of the town. Rochester is drained by the Salmon Falls, Isinglass and Cochecho rivers. The highest point in Rochester is a southern extension of Nute Ridge, at 581 feet (177 m) above sea level, occupying the northern corner of the city.
New Hampshire Route 16 (the Spaulding Turnpike) is a controlled-access highway that passes through the city, leading north towards Conway and south to Do...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Analyst jobs
$39,829 to $51,076
Rochester, New Hampshire area prices
were up 1.4% from a year ago
were up 1.4% from a year ago
What does a Claims Analyst do?
Claims Analyst in Elkhart, IN
A medical claims analyst usually receives information via e-mail and uses specialized software programs to enter and manipulate claims data.
December 07, 2019
Claims Analyst in Hartford, CT
Disclose your identity or other information about you to any third party who claims that material posted by you violates their rights, including their intellectual property rights or their right to privacy.
February 07, 2020
Claims Analyst in Newark, NJ
A top crypto analyst is analyzing the current state of Ethereum (ETH) and XRP, the second and third-largest cryptocurrencies by market cap.
February 06, 2020